The DOI matches its Crossref record; 49 of the 50 references it cites were found in a registry or an index.
High self-perceived stress and many stressors, but normal diurnal cortisol rhythm, in adults with ADHD (attention-deficit/hyperactivity disorder)
Abstract
Attention-deficit/hyperactivity disorder (ADHD) in adults is associated with significant impairment in many life activities and may thus increase the risk of chronic stress in everyday life. We compared adults with a DSM-IV ADHD diagnosis (n=28) with healthy controls (n=28) regarding subjective stress and amounts of stressors in everyday life, diurnal salivary cortisol in the everyday environment and salivary cortisol before and after cognitive stress in a laboratory setting. The association between cortisol concentrations and impulsivity was also investigated. Consistent with assumptions, individuals with ADHD reported significantly more self-perceived stress than controls, and subjective stress correlated with the amount of stressors in everyday life. The two groups were comparable with respect to overall diurnal cortisol levels and rhythm, as well as in pre- and post-stress cortisol concentrations. Post-stress cortisol (but not baseline cortisol) concentration was positively correlated with impulsivity. The group with high post-stress cortisol also reported more symptoms of depression and anxiety, as well as self-perceived stress and stressors in every-day life. The diagnosis of ADHD significantly increased the risk of belonging to the group with high post-stress cortisol levels. The results in this study warrant a focus not only on the primary diagnosis of ADHD, but also calls for a broader assessment of stressors and subjective stress in everyday life, as well as support comprising stress management and coping skills.
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“Daily rhythms in salivary cortisol in 28 adults with ADHD were examined in a case-control study, and no difference was reported in ADHD compared to control (although there was not a complete diurnal sampling procedure utilised in this study, with cortisol assessment taking place at awakening, 30 min after awakening, between 17:00 and 18:00 and at 23:00; Hirvikoski et al. 2009).”
From A systematic review of circadian function, chronotype and chronotherapy in attention deficit hyperactivity disorder (2017) · cites this paper as Hirvikoski et al. 2009
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An inventory for measuring depression
BECK, A. T. (1961) · Archives of General Psychiatry · doi:10.1001/archpsyc.1961.01710120031004 · Cited by 38,032
A Global Measure of Perceived Stress
Cohen, S., Kamarck, T., & Mermelstein, R. (1983) · Journal of Health and Social Behavior · doi:10.2307/2136404 · Cited by 32,807
An inventory for measuring clinical anxiety: Psychometric properties.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.56.6.893 · Cited by 14,407
Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation
Beck, A. T., Steer, R. A., & Carbin, M. G. (1988) · Clinical Psychology Review · doi:10.1016/0272-7358(88)90050-5 · Cited by 11,696
(1982) · Trends in Neurosciences · doi:10.1016/0166-2236(82)90076-5 · Cited by 9,150
Cohen, J. (1992) · Psychological Bulletin · doi:10.1037//0033-2909.112.1.155 · Cited by 8,771
Stress, adaptation, and disease. Allostasis and allostatic load
McEWEN, B. S. (1998) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1998.tb09546.x · Cited by 5,092
KESSLER, R. C., ADLER, L., AMES, M., DEMLER, O., FARAONE, S., HIRIPI, E., HOWES, M. J., JIN, R., SECNIK, K., SPENCER, T., et al. (2005) · Psychological Medicine · doi:10.1017/s0033291704002892 · Cited by 3,452
The concept of allostasis in biology and biomedicine
McEwen, B. S., & Wingfield, J. C. (2003) · Hormones and Behavior · doi:10.1016/s0018-506x(02)00024-7 · Cited by 3,302 · cited 2×
“the somatic burden of the accumulated lifetime stress associated with repeated stress responses (McEwen, 1998; McEwen and Wingfield, 2003).”
DSM-IV: Diagnostic and Statistical Manual of Mental Disorders
Bell, C. C. (1994) · JAMA · doi:10.1001/jama.1994.03520100096046 · Cited by 2,608
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“…study, and no difference was reported in ADHD compared to control (although there was not a complete diurnal sampling procedure utilised in this study, with cortisol assessment taking place at awakening, 30 min after awakening, between 17:00 and 18:00 and at 23:00; Hirvikoski et al. 2009).”
MethodGinsberg, Y., Hirvikoski, T., & Lindefors, N. (2010) · BMC Psychiatry · doi:10.1186/1471-244x-10-112 · Cited by 191
Self-citation
Metadata
- Authors
- Hirvikoski, T., Lindholm, T., Nordenström, A., Nordström, A.-L., & Lajic, S.
- Affiliations
- Karolinska University Hospital (SE)
- Stockholm University (SE)
- Karolinska Institutet (SE)
- Corresponding author
- Hirvikoski, Tatja
- Venue
- Hormones and Behavior
- Publisher
- Elsevier BV
- Published
- 2009-03
- Volume
- 55
- Issue
- 3
- Pages
- 418-424
- ISSN
- 0018-506X (ISSN-L)
- OpenAlex
- W2087984389
- Cited by
- 123
- References
- 50
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 6 · 2023: 8 · 2022: 9 · 2021: 9 · 2020: 7 · 2019: 12 · 2018: 6 · 2017: 8 · 2016: 11 · 2015: 5 · 2014: 8 · 2013: 6 · 2012: 7
- FWCI
- 3.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Hormones and Behavior (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Keywords
- adult ADHD, attention deficit hyperactivity disorder, chronic stress, perceived stress, diurnal cortisol rhythm, salivary cortisol, cognitive stress, impulsivity, depression, anxiety, stress management
- MeSH terms
- Adolescent, Adult, Anxiety, Attention Deficit Disorder with Hyperactivity, Circadian Rhythm, Depression, Female, Humans, Hydrocortisone, Impulsive Behavior, Life Change Events, Male, Middle Aged, Neuropsychological Tests, Psychiatric Status Rating Scales, Self Concept, Socioeconomic Factors, Stress, Psychological, Young Adult
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